Observation direct referral from physician office for admission at WellSpan Ephrata Community Hospital

169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$596.80

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

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What you pay up front if you don't use insurance.

$746.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$131.30 with Blue_Cross_BlueJourney_Medicare vs $2,715.33 with Highmark — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Blue_Cross_BlueJourney_Medicare All_Plans $131.30 ↓ -78%
Aetna All_Plans $194.00 ↓ -67%
First_Health_Network All_Plans $206.00 ↓ -65%
Blue_Cross Capital_Cares_4_kids $336.19 ↓ -44%
Cigna All_Plans $454.16 ↓ -24%
Highmark_Wholecare_Gateway_Medicaid All_Plans $459.83 ↓ -23%
WellSpan_Capital_Blue_Cross All_Plans $477.44 ↓ -20%
Blue_Cross All_Other_Plans $480.27 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $480.27 ↓ -20%
Geisinger All_Plans $484.90 ↓ -19%
UPMC UPMC_For_Kids $484.90 ↓ -19%
UPMC Employees_And_Dependents $484.90 ↓ -19%
Independence_Blue_Cross All_Plans $484.90 ↓ -19%
Tower Health All_Plans $484.90 ↓ -19%
PHC All_Plans $522.20 ↓ -13%
Health_Partners_Medicaid All_Other_Plans $592.13 ↓ -1%
Highmark_Medicare All_Plans $598.05 ↑ +0%
Aetna_Advantra_Medicare All_Plans $609.89 ↑ +2%
Aetna_Medicare All_Plans $609.89 ↑ +2%
Devoted_Medicare All_Plans $621.74 ↑ +4%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $621.74 ↑ +4%
Geisinger_Gold_Medicare All_Plans $621.74 ↑ +4%
UPMC_Medicare UPMC_for_Life_Complete_Care $621.74 ↑ +4%
United_Medicare ISNP_DSNP_Plans $621.74 ↑ +4%
Highmark_Wholecare_Gateway_Medicare All_Plans $624.40 ↑ +5%
Amerihealth_Medicare All_Plans $624.70 ↑ +5%
Jefferson_Health_Medicare_Advantage All_Plans $639.50 ↑ +7%
PA_Health_&_Wellness_Medicare All_Plans $639.50 ↑ +7%
United_Healthcare All_Plans $703.48 ↑ +18%
Highmark Higmark_Healthy_Kids $919.28 ↑ +54%
Health_Partners_Medicaid Kidz_Partners $977.01 ↑ +64%
United_Medicaid Community_Plan_For_Kids $1,036.23 ↑ +74%
Geisinger_Medicaid All_Plans $1,500.00 ↑ +151%
UPMC_Medicaid All_Plans $1,500.00 ↑ +151%
Highmark My_Direct_Blue $2,172.29 ↑ +264%
Highmark My_Priority_Blue_Flex $2,172.29 ↑ +264%
Highmark Blue_Cross_High_Performance_Network $2,253.71 ↑ +278%
Highmark Performance_Blue $2,253.71 ↑ +278%
Highmark Choice_Blue_PPO $2,253.71 ↑ +278%
Highmark All_Other_Plans $2,715.33 ↑ +355%

Visitor-reported prices

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Observation direct referral from physician office for admission at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $117.00 $27.00 – $2,064.00
UPMC Bedford Everett $166.20 $31.88 – $2,207.16
UPMC Carlisle Carlisle $420.00 $95.90 – $2,064.00
UPMC Cole Coudersport $84.00 $38.81 – $112.00
UPMC Community Osteopathic Harrisburg $420.00 $169.40 – $3,000.00
UPMC East Monroeville $130.20 $31.88 – $2,207.16
UPMC Hamot Erie $138.60 $674.61 – $728.58
UPMC Northwest Seneca $112.80 $31.88 – $631.28

All Pennsylvania hospitals for this procedure →